| Antimicrobial stewardship in the emergency department. | |
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MedLine Citation:
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PMID: 21712214 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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The practice of antimicrobial stewardship can be defined as optimizing clinical outcomes while minimizing the consequences of antimicrobial therapy such as resistance and superinfection. Antimicrobial stewardship can be difficult to transition to the emergency department (ED) since the traditional activities include the evaluation of broad-spectrum antimicrobial regimens at 72 and 96 hours and intravenous to oral medication conversion. The emergency medicine clinical pharmacist (EPh) has the knowledge and clinical assessment skills to manage an antimicrobial stewardship program focused on culture follow-up for patients discharged from the ED. This paper summarizes the experiences of developing an EPh-managed antimicrobial stewardship and culture follow-up program in the ED from 2 separate institutions. Specifically, the focus is on the steps for establishing an EPh-managed antimicrobial stewardship program, a description of the culture follow-up process, managing the culture data and cultures that require emergent notification and review, medical/legal concerns, and barriers to implementation. Outcomes data available from institutions with similar ED based antimicrobial stewardship programs are also discussed. |
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Authors:
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Nicole M Acquisto; Stephanie N Baker |
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Publication Detail:
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Type: Journal Article Date: 2011-03-14 |
Journal Detail:
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Title: Journal of pharmacy practice Volume: 24 ISSN: 1531-1937 ISO Abbreviation: J Pharm Pract Publication Date: 2011 Apr |
Date Detail:
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Created Date: 2011-06-29 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8900945 Medline TA: J Pharm Pract Country: United States |
Other Details:
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Languages: eng Pagination: 196-202 Citation Subset: IM |
Affiliation:
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Department of Pharmacy, University of Rochester Medical Center, Rochester, NY, USA. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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